Global cleft care in low-resource settings / Jordan W. Swanson, editor ; David W. Low, illustrator.
Swanson, Jordan W., editor.; Low, David W., illustrator.
2021
RD524
Available Online

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Title Global cleft care in low-resource settings / Jordan W. Swanson, editor ; David W. Low, illustrator.
ISBN 9783030591052 (electronic bk.)
3030591050 (electronic bk.)
3030591042
9783030591045
9783030591045
3030591042
DOI https://doi.org/10.1007/978-3-030-59105-2
Published Cham : Springer, [2021]
Language English
Description 1 online resource (587 pages) : illustrations (some color)
Other Standard Identifiers 9783030591045
10.1007/978-3-030-59105-2 doi
Call Number RD524
Dewey Decimal Classification 617.5/22059
Summary Cleft lip and palate represents the most common congenital facial anomaly. Congenital anomalies are one of the top 10 causes of disability and suffering in many low and middle income countries (LMICs.) Further, an estimated 30% of the global burden of disease is treated primarily through surgery, and among surgical conditions, treating clefts conveys disproportionately large benefit relative to cost because suffering can be halted at a young age and deliver a lifetime of health. Over the last 50 years, cleft care has advanced in low-resource settings through international surgical missions and the efforts of sparse local providers. While exciting anecdotes of impact abound from these efforts, recent studies have identified a complication rate that often exceeds 50% and there is concern about the sustainability of foreign volunteer missions. This book serves as a thorough resource for providing medical and surgical care of cleft lip and palate deformities in low-resource settings, geared to the context of those settings. The content is consensus-based and evidence-based, with emphasis on treatment that is appropriate to a low-resource context and how this differs from that in higher-resource environments. It is authored by recognized cleft experts in close partnership with providers who practice in low-resource settings. It is heavily pictorially based through illustrative figures, photos and diagrams, to be facile for those who speak English as a second language. Following the introduction, Complete Cleft Care in Low-Resource Settings has six main sections: patient workup, surgical treatment, comprehensive care, educational innovation, care delivery models, and finally a series of illustrative case studies. Uniquely, the book's breadth encompasses cleft care comprehensively, but does so through a practical "how to" format with many "from the field" examples of what has worked
Note Includes index.
Bibliography, etc. Note Includes bibliographical references and index.
Access Note Access limited to authorized users.
Source of Description Description based on print version record.
Added Author Swanson, Jordan W., editor.
Low, David W., illustrator.
Available in Other Form Global Cleft Care in Low-Resource Settings.
Linked Resources Online Access
Record Appears in Online Resources > Ebooks
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Intro
Foreword
Foreword
Preface
Acknowledgments
Contents
Case Studies in Cleft Surgery
About the Editors
Editor
Illustrator
Section Editors
Contributors
Part I: Introduction to Global Cleft Care
1: Introduction: A Paradigm Shift in Global Cleft Care
Five Forces Shaping Global Cleft Care
Surgery as Public Health
Locally Delivered Cleft Care
Focus on Achieving Great Patient Outcomes
Innovation Borne of Low-Resource Settings
The Conundrum of Evidence-Based Medicine
References
2: Burden of Cleft Disease and Opportunity for Impact

Introduction
Defining Cleft Conditions
The Burden of Cleft Disease
Epidemiology
Outcomes for Cleft Patients
Economics of Cleft Care
Approaches to Cleft Care
Defining Adequate Cleft Care
Methods of Reaching Untreated or Undertreated Patients
The Potential Impact of Cleft Care
References
3: Patient Barriers to Care
Introduction
Availability of Care (Supply)
Workforce
Infrastructure
Affordability and Acceptability of Surgical Care (Demand)
Affordability
Acceptability
Conclusion
References
4: Innovations in Reaching Patients

Introduction
Design Thinking
Examples from the Field
Cleft Lip and Palate
Patient Accompaniment: Partners in Health and Operation Smile Honduras
Problem Statement
Program Overview
Why It Works
Enhancing the Patient Experience: Operation Smile, Madagascar
Problem Statement
Program Overview
Why It Works
Primary Care
Nuka System of Care: Southcentral Foundation, Alaska, United States
Problem Statement
Program Overview
Why It Works
Community Health Workers: Last Mile Health, Liberia
Problem Statement
Program Overview
Why it Works

Infectious Disease
Community-Based Surveillance System: CORE Group Polio Project, South Sudan
Problem Statement
Program Overview
Why It Works
Conclusion & Key Takeaways
References
Part II: Patient and Cleft Assessment
5: Patterns, Anatomy, and Classification of Clefts
Introduction
Epidemiology
Patterns of Cleft Lip and Palate
Syndromic Clefts
Racial and Ethnic Epidemiologic Variations
Embryology
The Gene-Environment Interplay
Facial Development
Clefts as Failure of Fusion Events
Cleft-Related Anatomy

Nose: Tip, Alae, Columella, Nasal Sill, Paranasal Muscles
Palate
Classification
Severity Classification
Patterns
Unilateral Cleft Lip and Palate (UCLPA): Main Features
Bilateral Cleft Lip and Palate (BCLPA): Main Features
Cleft Palate: Main Features
References
6: Early Nutrition, Feeding and Management of Infants with an Oral Cleft
Introduction
Feeding Guidance for Patients with Cleft Lip/Palate
Normal Feeding
Feeding Duration and Amounts
Initial Feeding Assessment
Specific Feeding Problems of Infants with CL+/− P
Cleft Lip

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